目的:本研究旨在将标准护理监测的急性护理术后患者与疼痛小组通过虚拟病房技术监测的患者进行比较,以实时评估状态。
方法:回顾性队列研究。
方法:我们分别纳入了72,240和68,424例术后患者,他们在2021年1月至2022年4月期间接受了急性疼痛服务模式,并在2022年5月至2023年9月期间接受了“基于云的虚拟病房”管理模式。患者术后均给予患者自控静脉镇痛,我们收集了关于一般情况的围手术期数据,操作类型,术后中度至重度疼痛,恶心和呕吐,头晕,声音嘶哑,和病人的嗜睡。
结果:中度至重度术后疼痛的发生率,术后恶心呕吐,头晕,困倦,声音嘶哑,静息疼痛,与急性疼痛服务模式相比,“基于云的虚拟病房”管理模式中的活动疼痛显着降低。
结论:与急性疼痛服务模型相比,“基于云的虚拟病房”管理模式可以提高疼痛管理满意度,降低中重度术后疼痛和不良反应的发生频率。
结论:本研究提出的“基于云的虚拟病房”管理模式可以改善急性术后疼痛患者的护理。通过回顾两种术后患者疼痛管理模式,我们能够比较术后不良反应的发生率,并使用一体化医疗护理“基于云的虚拟病房”管理模式的标准流程来优化术后患者的管理并促进其健康结局。
OBJECTIVE: This study aimed to compare acute care postoperative patients monitored by standard care to those monitored through virtual ward technology by pain team to evaluate status in real-time.
METHODS: Retrospective cohort study.
METHODS: We included 72,240 and 68,424 postoperative patients who underwent the acute pain service model between January 2021 and April 2022 and the \"cloud-based virtual ward\" management model between May 2022 and September 2023, respectively. Patients were administered patient-controlled intravenous analgesia after surgery, and we collected perioperative data regarding the general condition, operation type, postoperative moderate-to-severe pain, nausea and vomiting, dizziness, hoarseness, and drowsiness of the patients.
RESULTS: The incidences of moderate-to-severe postoperative pain, postoperative nausea and vomiting, dizziness, drowsiness, hoarseness, resting pain, and activity pain were significantly reduced in the \"cloud-based virtual ward\" management model when compared with the acute pain service model.
CONCLUSIONS: Compared to the acute pain service model, the \"cloud-based virtual ward\" management model can enhance pain management satisfaction and lower the frequency of moderate-to-severe postoperative pain and adverse effects.
CONCLUSIONS: The \"cloud-based virtual ward\" management model proposed in this study may improve the care of patients with acute postoperative pain. By reviewing the two pain management models for postoperative patients, we were able to compare the incidence of postoperative adverse reactions and use the standard process of the integrated medical care \"cloud-based virtual ward\" management model to optimize the management of postoperative patients and promote their health outcomes.